The Experience of Rabies Post-exposure Treatment in Pakchong NaNa Hospital
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Abstract
The purpose of this study was to assess the rabies exposure and treatment in Pakchong NaNa Hospital during September 1, 1996 to August 31, 1997. There were 567 patients with 306 males and 261 females. Patients aged less than 10 years had the highest incedence rate. Patients who had been bitten with or without bleeding were 86.36%. The upper and lower limbs were injured 60.98% of all exposures. Holding, stepping on and playing with dog were the first three common causes of exposure, with 31.76%, 22.36% and 12.94%, respectively. Domestic dogs had received rabies vaccine only 6.35%. Patients who had properly cleansed theirs wounds before seeking medical attention were 34.39%. Complication of vaccination (2.5%) were headache and limb pain. The dogs with abnormal symptoms might be assumed to be rabid. Prevention of rabies in dog was under performe even though it is the primary measure for combating rabies worldwide. Only 12.87% of the treatments were correct according to WHO recommendations. After exposure, physician or local health officers should educate patients and help them evaluate the risks and benefits of the treatment.
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